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Revolution, Reform, And Reticent Voices: The Effects Of Nicaragua's Dynamic Health System On Medical Professionals, James E. Gardner

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The views of health professionals are an important and often overlooked aspect of changes in health policy. This paper examines the impact of healthcare reform on the medical professionals of Nicaragua over the last 40 years. First, the historical context of Nicaraguan healthcare is discussed. This history is presented as both an outgrowth of and a reaction to Nicaragua’s changing political environment. The changes in health policy over this time period are then examined through the lens of medical professionals. Several sub-topics are investigated including the relationship between perceptions of health professionals and political ideology, the inability of the younger …